Kids First Daycare INC

Several ceiling surfaces were observed to be dirty or in poor repair throughout the facility as follows: * Older 1's: Stained and broken ceiling tiles and dust accumulation on the ceiling vent; 3 ceiling tiles need to be replaced (2 with cracked pieces coming out and 1 bulging) * Infant Rm: 1 stained and cracked ceiling tile and dust accumulation around the ceiling vent and tiles * 2's Rm: 1 stained ceiling tile * PreKdg Rm: a few bubbling ceiling tiles * Preschool Rm: 3 stained ceiling tiles

The lunch that was served during the inspection did not include a grain. Lunch consisted of bologna and cheese roll-up, peas, pineapples and milk.

Staff person #5 was observed to be caring for children unsupervised. Staff person #5 has not completed the following pre-service training required prior to caring for children unsupervised: Pediatric First Aid/CPR

During the inspection, the PreK class was observed transitioning in and out of the classroom to use the bathroom outside of the classroom. Staff Person #1 remained in the classroom with 11-15 preschool children, while Staff Person #2 was in the bathroom with a few of the children, sending them back to the classroom as they finished. Staff Person #1 was out of ratio (1:10) in the classroom with up to 15 children, until Staff Person #2 returned to the classroom.

Child #1 was observed sleeping in a crib with a pacifier strap attached to the pacifier. Child #2 was observed sleeping in a crib with a stuffy toy.

During the inspection, the PreK class was observed transitioning in and out of the classroom to use the bathroom outside of the classroom. Staff Person #1 remained in the classroom with 11-15 preschool children, while Staff Person #2 was in the bathroom with a few of the children, sending them back to the classroom as they finished. Staff Person #1 and #2 were not physically present with the children in their group. In the School Age classroom, there were 13 total children (younger and older school age) with 2 staff. Staff Persons #3 and #4 were unable to identify their Primary Care Groups.

The initial health assessment on file for Staff Person #5, did not include the date that the TB Test was given or read by the health care practitioner.

Child #1 was using a center bottle that was not labeled with the child's name. The bottle stays at the center and is washed without the use of a dishwasher.

There was no current FBI clearance that was completed through DHS for Staff Person #2. The current one on file was done through PDE, which is not acceptable for childcare positions.

Staff Person #3 was observed working alone, unsupervised with children. Staff Person #3 did not have documentation of 2 years (2,500 hours) of childcare experience to be qualified to work as an AGS.

Medication (Epi-Pen) for Child #1 was not in the original prescription container.

There was no medication log for Child #1's inhaler that was filled out by the parent, giving permission and instructions on when to administer the inhaler. The one that was filled out by the staff when the inhaler was administered, was on a medication log for Child #1's other Epi-Pen medication at the facility. (corrected on-site)

There was no documentation of annual 12 hours of childcare training on file for Staff Person #1.

Staff Person #1 did not have the clearances required for a provisional hire prior to working at the facility (see Code Page). Prior to starting, her file contained only one of the two clearance results (the state police clearance) required to begin working provisionally.

Hand Sanitizer was observed in the front pocket of a backpack in the 2's Room, which was accessible to children.

A spray bottle containing cleaning solution that was not labeled with its contents, was observed in the 2's Room.

Ceiling tiles and vents in the Infant and Preschool (3's) classrooms were dirty, with visible dust buildup. There was also a light cover in the Preschool classroom that was dirty.

During a complaint investigation on 6/30/22, it was discovered that the last documented fire drill on their log, was dated 4/19/22, which was beyond the required fire drills conducted every 60 days.

When Child #1 fell out of Staff Person #1's arms, the child injured his leg and the parent was called. When the parent picked up the child, the incident report was not written yet to give to the parent the day of the injury.

In the 2's Room, the doorway to the kitchen is in need of repair where paint is chipping at the bottom of the white post and on the blue painted frame.

The updated health report for Child #1 did not include documentation of the influenza vaccine having been given in the past year. The last dated documentation of the influenza vaccine was dated 11/25/20.